Twisted Gastric Tube after Laparoscopic Sleeve Gastrectomy-An Unusual but Effective Surgical Approach to Achieve Full Recovery

Sleeve gastrectomy is at present the most practiced bariatric intervention for patients suffering from severe obesity. Although rare, post-operative complications such as leakages and strictures may represent a challenging issue for bariatric surgeons and cause impaired quality of life for patients....

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Bibliographic Details
Published in:Journal of clinical medicine 2022-04, Vol.11 (9), p.2304
Main Authors: Sarno, Gerardo, Calabrese, Pietro, Tramontano, Salvatore, Schiavo, Luigi, Pilone, Vincenzo
Format: Article
Language:English
Subjects:
Case Report
Endoscopy
Esophagus
Gastroesophageal reflux
Gastrointestinal surgery
Laparoscopy
Obesity
Patients
Quality of life
Small intestine
Stomach
Surgeons
Weight control
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Summary:Sleeve gastrectomy is at present the most practiced bariatric intervention for patients suffering from severe obesity. Although rare, post-operative complications such as leakages and strictures may represent a challenging issue for bariatric surgeons and cause impaired quality of life for patients. Gastric twist is even more rare. This complication is a functional obstruction rather than a stricture of the gastric remnant most likely due to technical mistakes at index surgery. If endoscopy usually allows diagnosis and constitutes the first-line treatment for this condition, surgery is mandatory when endoscopy is not successful. The conversion of the sleeve to a Roux-en-Y gastric bypass is the usually chosen intervention but a wide range of reconstruction has been proposed. In this report, we discuss the surgical technique we employed to achieve a full resolution of a gastric twist.
ISSN:2077-0383
2077-0383
DOI:10.3390/jcm11092304